You know, I don't really understand the reason for a general anaesthetic either. I used to think it was to spare us from the embarrassment of being awake while someone fiddled with our bottoms, but that's obviously not right, seeing as I've been given the option of having one of those spine block thingies. That might be a question to ask your surgeon, and if you do find out, I'd love to know the answer too
Why do I have it done? Sometimes the surgeons just like to take a look at the fistulas and see what's going on with them; sometimes it's to change a seton and to take a look around while they're at it. My hospital seems to be weirdly pernickity about
fistulas and setons: they like them to be regularly examined, and setons to be changed at least annually.
I do suspect that they would treat a fistula with a seton or whatever if they did find one. Back when I was newer to this and a lot more anxious, I asked my surgeon what would happen if they needed to do anything more drastic than put a seton or whatever in, and he said they'd wake me up and talk with me about
it, and then put me back to sleep when I felt comfortable with what they were needing / wanting to do, and agreed with it. I daresay they will discuss this with you before your EUA, and if they don't, please make sure you ask them about
it so you feel fully informed.
I'm without a seton just now but still have a fistula, and was booked in for an EUA last July and was supposed to be admitted in about
September, and am still waiting for them to find a bed
LOL. However, I've had an MRI so the surgeons will have a better idea of what they'll be looking at when they go in properly. Why they need to do an examination when they have the benefit of something as advanced as an MRI is beyond me, but there you are.
I tend to think of them as a good thing, though. These days, I can have the EUA at least annually, and then only do a scope every two years or so. Less bowel prep is always a good thing!!!!!
Yes, it is generally an outpatient procedure. (I often have mine done as an inpatient, though, as I need to travel a long way to have it done and my hospital is - sometimes! - kind). My feeling is that, if you went down to Theatre at about
7am, you'd be ready to be discharged by 12pm, maybe 2 at the latest... but, once again, this is something you might want to discuss with the hospital and the doctors.
If you're travelling, you might like to be aware that you *may* be sore afterwards. I am usually ok after my EUAs, but there have been times when I'm bruised and sore over the whole area, and bleeding a bit too, and travelling can be uncomfortable, so you might like to make sure you are set up with pain pills and maybe some extra underwear and pads too. All of this may be unnecessary and you may be no sorer (and maybe even less sore) than you are after a colonoscopy, but it's best to be prepared.
I've only just woken up so I'm probably rambling, but I hope this helps
ps. Oh! Take some nice, soft, toilet paper to hospital with you, to use after the enema. If your hospital tp is anything like ours, you may as well wipe with plain writing paper.